Entity Name: | ERIC D. MEDINA, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
ERIC D. MEDINA, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 05 Jul 2019 (6 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 02 Oct 2023 (2 years ago) |
Document Number: | L19000174320 |
FEI/EIN Number |
84-2873924
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 7000 West Camino Real, Boca Raton, FL, 33433, US |
Mail Address: | 18156 Clear Brook Circle, Boca Raton, FL, 33498, US |
ZIP code: | 33433 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548819618 | 2019-09-10 | 2019-12-18 | 18156 CLEAR BROOK CIR, BOCA RATON, FL, 334981943, US | 18156 CLEAR BROOK CIR, BOCA RATON, FL, 334981943, US | |||||||||||||||||||
|
Phone | +1 561-251-9099 |
Authorized person
Name | ERIC MEDINA |
Role | OWNER |
Phone | 5612519099 |
Taxonomy
Taxonomy Code | 207W00000X - Ophthalmology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | LICENSE |
Number | ME135030 |
State | FL |
Name | Role | Address |
---|---|---|
Medina Eric DDr. | Manager | 18156 Clear Brook Circle, Boca Raton, FL, 33498 |
MEDINA ERIC D | Agent | 18156 CLEAR BROOK CIRCLE, BOCA RATON, FL, 33498 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000128131 | RADIANT EYES OF BOCA | EXPIRED | 2019-12-04 | 2024-12-31 | - | 1601 CLINT MOORE ROAD, SUITE 130, BOCA RATON, FL, 33487 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2023-10-02 | - | - |
REGISTERED AGENT NAME CHANGED | 2023-10-02 | MEDINA, ERIC D | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2022-03-30 | 7000 West Camino Real, Boca Raton, FL 33433 | - |
CHANGE OF MAILING ADDRESS | 2022-03-30 | 7000 West Camino Real, Boca Raton, FL 33433 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-01 |
REINSTATEMENT | 2023-10-02 |
ANNUAL REPORT | 2022-03-30 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-06-29 |
Florida Limited Liability | 2019-07-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State